| NPI | 1518104439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.021951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.021951) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2013-07-31 |